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  • ashley
    Member
    Post count: 25

    Hi Dr Corenman,

    I had acdf at c6/c7 last year. Here are my mri results before it was done.

    MRI March 2012 findings: c5/c6 mild disc space narrowing and a small central disc protrusion. c6/c7 large right paracentral and foraminal disc protrusion, marked impingement of neural foramen and mild compression of the right side of cord.

    My surgery was just over a year ago. About one month ago I started getting full body tingling but especially more noticeable down my left side. I feel the tingling from about my chin all the way down to my feet. No numbness or weakness. The last few months it seems I have had more difficulty using my fingers when eating small things like popcorn. I am wondering if these sx could be from the c5/c6 or if I should be further investigated. I go back for a 1 yr follow up next week.

    Thanks Dr Corenman.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    Your symptoms could be from cord compression and myelopathy but other disorders can also cause these symptoms. The loss of fine motor skills “the last few months it seems I have had more difficulty using my fingers when eating small things like popcorn” are typical of cord compression.

    The physical examination will help to reveal the source of your symptoms. I would make sure that the surgeon is well aware of these symptoms and either works them up or has a good explanation for them.

    Dr. Corenman

    ashley
    Member
    Post count: 25

    Thank you so much for your quick reply. I will make sure I address these sx at my appt next week.

    ashley
    Member
    Post count: 25

    I forgot to mention that just around the time that those sx started I also have been having difficulty swallowing solids only. I have to double swallow to get my food down.

    I have also been having bladder issues too lately. A uti and decreased/dull sensation of my genitalia. Could these also be from cord compression?

    I have no pain though. Is it possible to have cord compression but not have pain?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    Difficulty swallowing (dysphagia) should not be related to cord compression. UTIs would also be unlikely to be associated. Cord compression is rarely associated with pain.

    Dr. Corenman

    ashley
    Member
    Post count: 25

    Thanks Dr,

    About 6 yrs ago I started having the difficulty swallowing and an ent worked it up and did a scope. Normal. Then I was sent for a thyroid scan. 1 cold nodule was found and no further investigation was done.

    When you said that my sx could be from cord compression and myelopathy would that be because my c5/c6 mild disc space narrowing has possibly gotten worse?

    And just before I started with the tingling and difficulty with my hands my finger joints started swelling. My gp said we would wait and see what that turned into. I am assuming something like lupus or ra.

    I feel like I already have so much to deal with and I am really hoping that my neurological sx are to do with my neck herniations and not something more insidious.

    Wouldn’t something more serious like a lesion have shown up on my cervical mri last year?

    Would you suggest I ask for a full mri of my spine as well as a brain mri since I have only had a cervical one done? I don’t want to seem pushy but I want to make sure I am thoroughly investigated.

    Sorry this was so long I just have a lot on my plate right now.

    Have a great day Dr Corenman and thanks for allowing me to ask questions.

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